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RICHARD L BLANSKY M.D.
NPI 1790725778
Internal Medicine - Gastroenterology in Binghamton, NY

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
161 RIVERSIDE DR, SUITE 210, BINGHAMTON, NY 13905(607) 770-1155(607) 770-1968 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Richard L Blansky M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD L BLANSKY M.D. (NPI 1790725778) is an individual gastroenterology provider in Binghamton, New York, licensed in New York (184290) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1790725778
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameRICHARD L BLANSKYCredential: M.D.
Location Address161 RIVERSIDE DR, SUITE 210Binghamton, NY 13905-4176
Mailing Address161 Riverside Dr, Suite 210Binghamton, NY 13905-4176 · (607) 770-1155 · Fax (607) 770-1968
Phone(607) 770-1155
Fax(607) 770-1968
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateJune 7, 2006
Last NPPES UpdateJune 3, 2025
NPPES CertifiedJune 3, 2025
✔ NPI 1790725778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in NY · 184290✔ Licensed in CT · 1.080961
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
161 RIVERSIDE DR, Binghamton, NY 13905
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Other Identifiers 1

Medicaid02082337NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Richard L Blansky M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800912684
PECOS Enrollment IDI20100929001102, I20250807001113
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
108 services78 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
45 services45 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
41 services41 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services36 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
28 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.57
Promoting Interoperability95
Improvement Activities40
Cost64.87

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS PARSLEY MD
Internal Medicine
161 RIVERSIDE DR, SUITE 306
BINGHAMTON, NY 13905
Broome County (607) 798-6700
BINGHAMTON PLASTIC SURGERY, PLLC
Specialist
161 RIVERSIDE DR, SUITE 106
BINGHAMTON, NY 13905
Broome County (607) 729-0101
SANDY NASR MD
Internal Medicine (Rheumatology)
161 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-1842
MARK A DREHER DDS MD PC
Dentist
161 RIVERSIDE DR, SUITE 201
BINGHAMTON, NY 13905
Broome County (607) 748-7169
DR. DAVID C DREYFUSS M.D.
Surgery
161 RIVERSIDE DR, SUITE 105
BINGHAMTON, NY 13905
Broome County (607) 770-9471
CELESTE R KEEFE C.N.M.
Advanced Practice Midwife
161 RIVERSIDE DR, SUITE 109
BINGHAMTON, NY 13905
Broome County (607) 770-7074
JEROME C COHEN, MD, PC
Internal Medicine (Gastroenterology)
161 RIVERSIDE DR, SUITE 210
BINGHAMTON, NY 13905
Broome County (607) 770-1155
LINDA S DICKEY R.N.C.N.P.
Nurse Practitioner (Obstetrics & Gynecology)
161 RIVERSIDE DR, SUITE 109
BINGHAMTON, NY 13905
Broome County (607) 770-7074

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Blansky's NPI number?

The NPI number for Richard Blansky is 1790725778. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Richard Blansky located?

Richard Blansky practices at 161 Riverside Dr Suite 210, Binghamton, NY 13905. The listed phone number is (607) 770-1155.

What is Richard Blansky's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Richard Blansky enrolled in Medicare?

Yes. Richard Blansky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Richard Blansky accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Richard Blansky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Richard Blansky affiliated with any hospitals?

According to CMS data, Richard Blansky is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Richard Blansky was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.